Active NPI
Jaime Ellis Gaudet, NP
- Family Nurse Practitioner
- Houma, LA
National Provider Identifier
1962779470
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP07076
- Practice address
- 1001 School St
Houma, LA 70360-4629 - Phone
- (985) 868-1540
- Fax
- (985) 876-0759
- NPI assigned
- Nov 28, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse First Assistant | 163WR0006X | CEP11471 | CA | |
| Family Nurse Practitioner | 363LF0000X | AP07076 | LA | Primary |
Addresses
Primary practice location
1001 School St
Houma, LA 70360-4629
Mailing address
1001 School St
Houma, LA 70360-4629
Phone (985) 868-1540
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1001 School St
Houma, LA 70360-4629
Phone (985) 868-1540
Hospital & facility affiliations
- Terrebonne General Medical Center - Parish
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CEP11471 | CA | MD | Registered Nurse First Assistant |
Interoperability endpoints
- jgaudet323618@direct.ochsner.org
- jgaudet@gco.directbygreenway.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Houma, LA
- NPI 1215940929
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Houma, LA
- NPI 1518924109
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1322438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1400544000000",
"number": "1962779470",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 SCHOOL ST",
"city": "HOUMA",
"state": "LA",
"postal_code": "703604629",
"telephone_number": "985-868-1540",
"fax_number": "985-876-0759"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 SCHOOL ST",
"city": "HOUMA",
"state": "LA",
"postal_code": "703604629",
"telephone_number": "985-868-1540",
"fax_number": "985-876-0759"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAUDET",
"first_name": "JAIME",
"middle_name": "ELLIS",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-11-28",
"last_updated": "2014-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "163WR0006X",
"taxonomy_group": "",
"desc": "Registered Nurse, Registered Nurse First Assistant",
"state": "CA",
"license": "CEP11471",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "LA",
"license": "AP07076",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houma, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.